Updated 28 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by three inspectors, a pharmacist inspector and two Experts by Experience, who made telephone calls to people using the service and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. One of the three inspectors interviewed care workers by telephone and the other two inspectors attended the office.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 7 January 2020 and ended on 9 January 2020.
What we did before the inspection
We looked at the information we held about the service. This information included statutory notifications the provider had sent to us. A notification is information about important events which the provider is required to send us by law. We sought feedback from the local authority and professionals who work with the service. We reviewed the provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and relatives of 17 other people who used the service about their experience of the care provided. We met with six care workers, three care coordinators, the registered manager, regional operations manager, operations director and training manager. We also spoke with seven care workers by telephone.
We reviewed a range of records. This included fourteen people’s care records and thirteen people’s medication records. We looked at nine staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including audits, quality assurance, complaints, safeguarding, policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.